齐福迪尼亚 (Xiphodynia) 带有有限的形过程-角下降,但已识别到直肠腹部的压缩
Ryosuke Ono1,2, Ken Horibata3,2
1Department of Community Medicine, Kameyama, Mie University School of Medicine, Tsu, Mie, Japan rikusan2005@yahoo.co.jp.
BMJ case reports
|February 8, 2024
概括
标志着腹上疼痛的Xiphodynia,可以通过注射利多卡因来诊断. 这一案例凸显了在诊断中考虑软组织压缩结果的重要性.
科学领域:
- 胃肠病学 胃肠病学
- 疼痛管理 疼痛管理
- 诊断成像 诊断成像 诊断成像
背景情况:
- 齐福迪尼亚是一种临床诊断,其特点是疼痛源于状体过程.
- 典型的诊断方法可能并不总是揭示异常,需要使用替代评估方法.
- 之前的文献通常集中在形过程-角上,但这可能并不普遍适用.
研究的目的:
- 报告一个带有上胃和辐射疼痛的 xiphodynia 病例.
- 为了研究软组织压缩在xifhodynia发现的诊断实用性.
- 建议扩大图像诊断 xiphodynia 的方法.
主要方法:
- 临床表现是腹疼痛和腹过程中的疼痛和敏感.
- 用局部利多卡因注射缓解症状的诊断试验.
- 图像评估侧重于形过程-角和前部软组织.
主要成果:
- 一名70多岁的患者经历了胃上部疼痛,通过利多卡因注射得到缓解,证实了xiphodynia.
- 观察到小体过程 - 乳头角的最小减少.
- 显著的压缩发现在状前部的软组织中被注意到,包括直肠腹部.
结论:
- 诊断Xiphodynia可能具有挑战性,注射利多卡因作为一种有价值的诊断工具.
- 这一案例表明,Xiphodynia的成像应该包括评估Xiphoid过程之前的软组织压缩.
- 结合前部软组织压缩的评估,可以提高基于成像的小症诊断的准确性.
相关概念视频
The Thoracic Cage: Sternum
2.2K
The thoracic or rib cage forms the body's thorax (chest) portion. Its primary function in the body is to protect vital organs in the thoracic cavity, such as the heart and the lungs. It consists of 12 pairs of ribs with their costal cartilages and the sternum. The ribs are anchored posteriorly to the 12 thoracic vertebrae (T1-T12).
The sternum is the elongated bony structure on the anterior side of the thoracic cage. It consists of three parts: the manubrium, the body, and the xiphoid...
The sternum is the elongated bony structure on the anterior side of the thoracic cage. It consists of three parts: the manubrium, the body, and the xiphoid...
2.2K
Esophageal Strictures-II: Clinical Features and Management
72
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
72
Appendicitis-I: Introduction
145
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
145
Barrett Esophagus-II: Clinical Manifestations and Management
154
Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
154
Assessment of the Rectum and Anus
220
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
220
Muscles of the Abdomen
1.4K
The abdominal wall encircles the abdominal cavity, providing flexible protection and shielding the internal organs from harm. It is bordered at the top by the xiphoid process and costal margins, at the back by the vertebral column, and at the bottom by the pelvic bones and inguinal ligament. The abdominal wall is divided into two regions — the anterolateral and posterior regions.
Anterolateral Region
The anterolateral region comprises five paired muscles classified into the lateral and...
Anterolateral Region
The anterolateral region comprises five paired muscles classified into the lateral and...
1.4K


